Organization
A STEP FORWORD SPEECH AND LANGUAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNA PETRILLO M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(973) 771-8918
Entity
Organization
Contact information
Practice address
6 LINCOLN ST, NUTLEY, NJ 07110-2532
(973) 221-3474
Mailing address
6 LINCOLN ST, NUTLEY, NJ 07110-2532
(973) 221-3474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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